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NPI Code Detail

MEDICARE: STACEY A. STOUT CNM

MEDICARE: STACEY A. STOUT CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeRN129909GA

General Provider Information

NPI Number : 1619355195
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY A. STOUT CNM
Provider Business Mailing Address
First Line : 130 BYRD WAY
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-8937
Country : US
Telephone Number : 478-922-9136
Fax Number :
Provider Business Practice Location Address
First Line : 130 BYRD WAY
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-8937
Country : US
Telephone Number : 478-396-1150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2015
Last Update Date : 10/14/2025

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Directions to “ STACEY A. STOUT CNM” Practice Location

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